{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:00:42Z","timestamp":1790056842815,"version":"4.0.1"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healthcare professionals (HCPs) operate within environments of chronic occupational stress; a burden significantly amplified in Israel by the compounded pressures of the COVID\u201019 pandemic and active warfare. While resilience and positive affect (PA) are established protective factors, the nature of their interactive role in sustaining quality of life (QoL) during prolonged, extreme crises remains under\u2010explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study examines resilience, positive affect (PA), and quality of life (QoL) among healthcare professionals (HCPs), investigating whether PA moderates the relationship between resilience and QoL during a prolonged crisis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional national online survey was conducted among 260 Israeli HCPs nationally. Participants completed validated instruments including the Brief Resilience Scale (BRS), the Positive and Negative Affect Schedule (PANAS), and the Multicultural Quality of Life Index (MQLI). Moderation analyses assessed the predictive effects of resilience and the moderating role of PA on QoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both resilience and PA significantly predicted QoL. A small but significant interaction effect indicated that PA moderated the resilience\u2013QoL relationship, with stronger benefits among HCPs with lower resilience. Specifically, resilience showed a stronger association with QoL among HCPs with lower levels of PA, whereas this association weakened at higher levels of PA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>Healthcare leaders and managers could optimize staff quality of life by implementing interventions that promote positive affect, such as peer\u2010support systems and recognition initiatives, especially for staff with lower baseline resilience. At the policy level, institutions stand to benefit from adopting broader systemic strategies alongside individual\u2010focused training to sustain a supportive emotional climate during prolonged crises. Furthermore, future research should utilize longitudinal designs to evaluate the long\u2010term impact of these interventions on workforce retention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70176","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:04:16Z","timestamp":1790053456000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Resilience and Quality of Life: The Role of Positive Affect on Healthcare Professionals in High\u2010Stress Environments"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2855-7690","authenticated-orcid":false,"given":"Nurit","family":"Zusman","sequence":"first","affiliation":[{"name":"Henrietta Szold Hadassah School of Nursing at the Faculty of Medicine at Hebrew University  Ein Kerem Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4651-1266","authenticated-orcid":false,"given":"Martine Denise","family":"Freeman","sequence":"additional","affiliation":[{"name":"Henrietta Szold Hadassah School of Nursing at the Faculty of Medicine at Hebrew University  Ein Kerem Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5779-9210","authenticated-orcid":false,"given":"Caryn Scheinberg","family":"Andrews","sequence":"additional","affiliation":[{"name":"Henrietta Szold Hadassah School of Nursing at the Faculty of Medicine at Hebrew University  Ein Kerem Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2023.08.010"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106263"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbae197"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S391403"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066X.56.3.218"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2004.1512"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.13019"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13555"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.105151"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010020\u201005944\u2010x"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010025\u201008854\u20101"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612840.2014.887164"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102753.2010.01609.x"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0305172"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0334752"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u20103514.91.4.730"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008131\u2010x"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12336"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13584\u2010024\u201000665\u20101"},{"key":"e_1_2_16_21_1","volume-title":"Flourish: A Visionary New Understanding of Happiness and Well\u2010Being","author":"Seligman M. 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